Individual
JUDITH MATTOON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
55 WILBORN RD, HILTON HEAD ISLAND, SC 29926-1619
(843) 689-4578
Mailing address
8 ROMA CT, HILTON HEAD ISLAND, SC 29928-3000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
977
SC
Other
Enumeration date
11/02/2005
Last updated
07/08/2007
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